Community Health Worker

• Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between the member and any services they may need.
• Support individuals and family as they navigate the health care system and transition to improvement in self-care and health care management.
• Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.
• Provide ongoing follow-up, basic motivational interviewing, and goal setting with
• patients/families.
• Helping bridge conversations with members and remove barriers that prevent them from accessing health and social services; and conduct face-to-face outreach to panel of members for appointment scheduling, needs assessment, and care gap closure.  
• Meeting member in clinic, facility or at home to help identify social determinants of health impacting member’s health and general well-being.
• Collaborate with the full care team to create an individualized, linguistically and culturally appropriate care plan for every enrolled member.
• Assists members in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms.
• Facilitates communication between all parties (members, families, colleagues, and community-based organizations) as needed.
• Documents interactions with members and on behalf of members in medical record
• Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found.
• Help patients set personal health related goals and attend appointments.
• Provide referrals for services to community agencies as appropriate.
• Help patients connect with transportation resources and provide appointment reminders in special circumstances.
• Exhibit excellent working relations with patients, visitors and staff,
• Effectively communicating CHS’ mission.
• Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans.
• Work collaboratively with other clinical personnel assigned to the same patient.
• Knowledgeable about community resources appropriate to needs of patients/families.
• Responsible for providing consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress.
• Act as a patient advocate and liaison between the patient/family and community service agencies.
• Record patient care management information in the EMR and other software no later than 24 hours after patient contact.
• Manage assigned caseload of patients.
• Always maintain HIPAA compliance.

• Good organizational skills to handle multiple priorities while remaining professional and calm.
•  Ability to work with many diverse people, including children and teenagers.
• Effective telephone skills.
• Strong level of confidentiality due to the sensitivity of materials and information handled.
• Ability to make suggestions on workflow or system efficiency and effectiveness.
• Ability to work independently and be self-directed and flexible.
• Ability to prioritize.
• Ability to perform functions with minimal supervision.
• Ability to work at a high-volume level of accuracy.

• Be committed to the mission of COPE Health Solutions ECM Program.
• Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of the health care team.
• Committed to the constant pursuit of excellence and teamwork in improving the care of the patient and families in the community.
• Maintain availability to work weekends as required by program and operational needs.
• Be punctual for scheduled work and use time appropriately.
• Perform duties in a conscientious, cooperative manner.
• Perform required amount of work in a timely fashion with a minimum of errors.
• Be neat and maintain a professional appearance.
• Maintain confidentiality and protect the program by abiding by laws and principles related to confidentiality; keep information concerning Program Operations, patients and employees confidential.

• Valid California Driver’s License
• High school graduate or equivalent required; Associate's Degree in Business Administration or related field preferred.
• Successful completion of a Community Health Worker formal training program such as from a college or other education institution is preferred.
• Written and oral fluency in English and Spanish is preferred.
• Experience working in a multi-cultural setting.
• Willing to learn and understand a variety of different cultures, perspectives, and norms.
• Experience working in a community-based setting for at least 1 to 2 years preferred.
• Basic computer skills required; electronic medical record (EMR) experience preferred.
• Understand the community served, community connectedness.
• Good communication skills, such as listening well, and using language appropriately.
• Ability and willingness to provide emotional support, encouragement, and motivation to patients.
  

Benefits: 

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/ 

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit https://copehealthsolutions.com/about-us/ 

About Enhanced Care Management
Enhanced Care Management (ECM) supports eligible Medi-Cal members with complex medical, behavioral and health-related social needs through comprehensive, person-centered coordination. Working across health care and community settings, multidisciplinary care teams—including care managers and community health workers—engage members, develop individualized care plans, connect individuals to appropriate services and coordinate with providers and community partners. The program seeks to improve access, continuity and health outcomes while addressing barriers that contribute to avoidable utilization.

To Apply:
https://copehealthsolutions.com/careers/open-positions/